Value-Based Healthcare in Rheumatology: Axial Spondyloarthritis and Beyond

被引：7
|
作者：
Liew, David F. L. [1 ,2 ,3 ]
Dau, Jonathan [4 ]
Robinson, Philip C. [5 ,6 ]
机构：
[1] Univ Melbourne, Dept Med, Parkville, Vic, Australia
[2] Austin Hlth, Dept Rheumatol, Heidelberg, Vic, Australia
[3] Austin Hlth, Dept Clin Pharmacol & Therapeut, Heidelberg, Vic, Australia
[4] Massachusetts Gen Hosp, Div Rheumatol Allergy & Immunol, Boston, MA 02114 USA
[5] Univ Queensland, Sch Clin Med, Fac Med, Herston, Qld 4006, Australia
[6] Metro North Hosp & Hlth Serv, Royal Brisbane & Womens Hosp, Dept Rheumatol, Bowen Bridge Rd, Herston, Qld 4006, Australia
来源：
CURRENT RHEUMATOLOGY REPORTS | 2021年 / 23卷 / 06期
关键词：
Value-based healthcare; Low benefit care; Health economics; Pharmacoeconomics; Treatment strategy; Diagnosis; Axial spondyloarthritis; Ankylosing spondylitis; Rheumatology; NECROSIS-FACTOR INHIBITORS; INFLAMMATORY BACK-PAIN; ANKYLOSING-SPONDYLITIS; ANTI-TNF; CLASSIFICATION CRITERIA; REFERRAL STRATEGIES; CLINICAL-RESPONSE; CONTROLLED-TRIAL; ARTHRITIS; DISEASE;
D O I：
10.1007/s11926-021-01003-z
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of Review This review examines axial spondyloarthritis (axSpA) and the wider field of rheumatology through a value-based healthcare (VBHC) lens. VBHC is focused on ensuring patients receive high quality care to improve outcomes and reduce unnecessary costs. Recent Findings There are many opportunities to apply the principles of VBHC in axSpA. These include the appropriate utilization of diagnostic investigations, such as HLA-B27 and magnetic resonance imaging, assessing outcomes meaningful to patients, and optimizing care pathways. Multidisciplinary care may improve value, and reduced specialist review and medication tapering may be appropriate. Increasing the value of the care we provide to patients can occur across domains and directly and indirectly improves patient outcomes. Taking the time to integrate principles of VBHC into our practice will allow us to justifiably gain and maintain access to diagnostic and therapeutic advances for the benefit of all our patients.
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页数：9
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